Pharmacy benefits that work harder for people and plans
Scale, clinical expertise, flexible programs, and connected experiences help lower costs, simplify decisions, and drive stronger outcomes.
What are pharmacy benefit services?
Pharmacy benefit services help employers and health plans manage prescription drug benefits. Services can include benefit design, formulary management, clinical programs, pharmacy networks, member support, and strategies that improve affordability, access, and the overall pharmacy experience.
Rising drug costs, new therapies and a fragmented health care experience are placing more pressure on plan budgets and making pharmacy benefits harder for members to understand and use. We bring together pharmacy expertise, clinical guidance, connected experiences and configurable solutions to help clients navigate volatility, simplify decisions, and see measurable value over time.
Our pharmacy benefit services by the numbers1
40+
years of pharmacy benefit experience
~1 in 3
Americans served
1,000+
specialized pharmacists, physicians and nurses
3,500+
patient service advocates
A model that works
The right pharmacy benefit does more than manage prescriptions. When it’s working right, it should:
Relieve cost pressures
Affordability is not one lever. It is an ecosystem of strategies working together—from benefit design, utilization management and condition management to copay assistance, site-of-care guidance, drug savings, transparent pricing tools and proprietary forecasting. Together, these strategies help reduce volatility, improve predictability and put savings in motion every day.
Make pharmacy benefits easier to manage and understand
When people cannot understand or access their benefits, the value of those benefits can get lost. A connected care experience—bringing together convenient access points, clinical support and benefit navigation so members can get the right care, support and guidance when and where they need it.
Prove valuable and effective
Proof shows up in commitments met, value measured and results that can be tracked over time. It is the confidence that safeguards, clinical decisions and cost-management strategies are working together to help close gaps in care before they become bigger health and cost challenges.
Proven pharmacy expertise
For decades, Express Scripts has helped employers and health plans navigate changing drug costs, new therapies and evolving member needs. We combine pharmacy expertise, clinical safeguards, purchasing scale and member advocacy to create more predictable costs, simpler experiences and measurable results.
Our approach goes beyond processing prescriptions. We help clients design and manage benefits, guide clinically appropriate medication use and connect members with timely support—so pharmacy can feel less like something to constantly oversee and more like something already working as it should.
Discover pharmacy solutions designed to simplify care and improve results.
A pharmacy benefits partner built to solve what matters
Deliver medications where and when patients need them, with digital tools that make ordering, refilling, and tracking easier.
Evernorth brings pharmacy expertise, data, and connected capabilities together to help relieve affordability concerns, ease health journeys, and prove value through measurable results.
Create cost confidence with pharmacy expertise at scale
Improve predictability with unmatched data and insights
Integrate with current partners with minimal disruption
Connect the member journey through better coordination and a more seamless experience
Simplify benefits administration to help ease the burden on benefits teams
Service and capabilities
Evernorth offers both end-to-end pharmacy benefit management and configurable capabilities to complement existing partners.
Digital, medical, and integrated offerings
Evernorth Digital Health Formulary®
Clinically evaluated digital health solutions across a range of conditions, with contracting, implementation support, and outcomes reporting.
Health Connect 360®
Connects pharmacy and medical data to identify care gaps and coordinate timely clinical support.
Evernorth Medical Drug Management
Medical-benefit specialty drug strategies including prepayment reviews, medical-drug policy support, and home-infusion and oncology approaches.
Evernorth Signature℠ pharmacy benefit services builds on decades of expertise
Our model is designed to reduce point-of-sale surprises, support clearer planning and strengthen local pharmacy access.
Pass negotiated savings to members to deliver the lowest available price at the pharmacy counter
Improve budget predictability with clearer pricing and contracting mechanics
Support community pharmacy access and local relationships
Learn more about Evernorth Signature pharmacy benefit services
Frequently asked questions
Greater confidence in how pharmacy benefits perform
Medication needs, treatment options and cost pressures will continue to change. Evernorth Health Services helps employers and health plans respond with strategies that reduce uncertainty, simplify the experience and deliver measurable value.
Whether clients choose an end-to-end pharmacy model or select configurable solutions that complement existing partners, the goal is the same: make pharmacy easier to manage, easier for members to use and easier to stand behind.
Build a pharmacy benefit that works better for your organization and your members
Sources
SPCPS Specialty BoB 2025